Also called sensitive dentin, dentin sensitivity, dentin hypersensitivity, cervical sensitivity, cervical hypersensitivity.
Sensitive teeth, also called dentin hypersensitivity is a very common dental condition where a sharp but short duration pain occurs in the dental region inside the teeth and gums in response to certain stimuli but not caused due to any other disease. The stimuli can be thermal, mechanical or tactile, electrical, osmotic, or due to chemicals or evaporation.
The root cause of dental hypersensitivity is exposure of the dentine layer of the teeth that lies just underneath the outer enamel coating. The dentine layer may be exposed due to receding gums, or due to the erosion of the enamel. Dentine contains millions of microscopic tubules fanning outward from the pulp. These dentinal tubules are filled with a fluid. Once exposed, the external stimuli cause changes in the flow of this fluid, and this triggers the sudden sharp pain response from the mechanoreceptors from the nerves in the pulp. Some level of sensitivity is noted even in healthy teeth, but the response is much sharper and more intense in case of hypersensitivity.
A great number of treatment options are available to treat and manage dental hypersensitivity. Even without treatment hypersensitivity response is slowly managed and muted by the body by laying down tertiary drains and thickening the dentine, but these processes take a very long time, and the condition might turn more severe if the pulp becomes involved and inflamed.
A multitude of treatment options are available for dental hypersensitivity. The most easily available are desensitizing toothpastes that are available over the counter at any pharmacy. These toothpastes help to block pain by forming a layer over the exposed ends of the dentinal microtubules. Fluoride is also used to strengthen the enamel so that it resists decay. The exposed dentin surface may also be sealed in a process similar to dental filling for cavities. Lost gum tissues may need to be replaced by taking up tissues from elsewhere in the mouth. In case other treatments are ineffective, a root canal procedure is performed, which involves a surgical removal of pulp with all its nerve endings. The procedure is usually applied to treat severe hypersensitivity problems arising from other more severe causes like inflammation of the dental pulp. Treatments may need to be combined with teeth crowns to protect them from further damage.
Dental hypersensitivity is characterized by sharp sudden pains in the teeth in response to various stimuli. Commonest of these stimuli is temperature, where the pain is triggered by cold or hot liquids coming in contact with the affected teeth. Even cold air can cause a dental hypersensitivity in some of the more severe cases. Brushing teeth may cause the pain. Sugar solutions like fruit juices, soft drinks, etc. can cause the pain to occur. Solid or liquid edibles with acidic pH coming in contact with the affected teeth can cause pain. Dental hypersensitivity may occur due to some other dental diseases, in which case the underlying cause needs to be addressed. If no other diseases are seen to be the cause of hypersensitivity, the patient is eligible for hypersensitivity treatment.
Some dental diseases like pulp inflammation may be the cause of hypersensitivity. In this case, treatments like sealing of dentine is not advised as the pulp may turn necrotic and the damage may spread to other parts of the mouth and gums.
Some side effects are associated with treatments for sensitive teeth. For example, fluoride treatment can cause fluoride poisoning if used non-judiciously. Dental crowns placed to protect the enamel from decay may further aggravate the problem of increasing dentinal hypersensitivity.
Post treatment guidelines for teeth hypersensitivity include simple habits to keep the teeth and gums clean and healthy to prevent their further decay. These include regular brushing and flossing at least twice a day, rinsing out the mouth properly after every meal, having some water after having some acidic food, wearing mouth guards if grinding teeth is a regular problem, etc.
Some of the treatment options manage the condition by preventing further enamel decay and reducing dental sensitivity, and these treatments are regular treatments. Root canal surgery is performed in severe cases, and it takes about three to four weeks to recover.
Treatment costs for dental hypersensitivity vary widely from Rs. 50 going up to Rs. 10,000 or higher for surgical procedures and follow ups.
Some treatments are regular and ongoing. Results of most treatments are long lasting if proper care is taken and further decay does not occur. Results of root canal surgery are permanent since the entire pulp with nerves is removed.
Rs. 50 - Rs. 10,000
Tooth sensitivity is a condition when the nerve endings in the teeth are overly sensitive to hold and cold conditions. Drinking and eating hot or cold food may cause a sharp pain in the tooth. A material called dentin, which is what makes up the inside of your tooth, is protected by the enamel in the crown and the cementum in the root of the tooth. In cases when the dentin loses its covering, teeth may be become sensitive.
Causes of sensitive teeth
1. Inflammation caused by bacteria may lead to sensitive teeth.
2. Gum diseases such as gingivitis may cause the gums to retract and reveal the roots of your teeth.
3. Constantly grinding your teeth can cause the enamel to break down, which leads to exposure of the dentin.
4. Accumulation of plaque can cause sensitive teeth.
5. Various acidic foods such as lemon cause the enamel to be worn out.
6. Sensitive teeth is caused by decay of the tooth.
7. Various dental procedures such as teeth restoration and cleaning of the teeth cause the teeth to be sensitive.
1. You need to use dental products that contain fluoride. Fluoride products tend to decrease teeth sensitivity.
2. Restrict consumption of acidic foods such as lemon and some dairy products.
3. If you grind your teeth then start using mouth guard.
4. Follow proper dental hygiene such as brushing and flossing on a regular basis to keep teeth sensitivity at bay.
5. You should use a toothbrush that has soft bristles so that the gum tissue is not affected while brushing.
6. You may use a toothpaste that has been made for people who have sensitive teeth.
7. You may apply fluoride varnishes to root surfaces that have been exposed.
8. You may cover up root surfaces with white fillings.
9. Application of dentin sealers to root surfaces that have been exposed may help in preventing tooth sensitivity.
10. Laser is also effective to fix tooth sensitivity.
Tooth sensitivity can be best described with the symptom of a sharp pain that you feel in your teeth when you sip something hot or cold. It is this contact of the drink with the sensitive tooth that causes the sharp pain. Extremely cold climate and eating something which is sweet or sour can cause the sensitive teeth to cause such a sensation, thus making it uncomfortable for you to eat anything.
The most common causes of sensitive teeth are as follows:
1. Tooth decay near the gum line can cause the teeth to be sensitive
2. Consumption of highly acidic foods and beverages
3. Using a hard tooth brush and aggressive brushing can lead to erosion of tooth enamel and cause tooth sensitivity
4. Plague buildup and gum diseases cause tooth sensitivity which may require you to consult your dentist immediately
However, there are many precautions that dentists recommend which can prevent your tooth from becoming sensitive. These are:
1. Gently brush your teeth and use a tooth brush that has soft bristles. This can prevent any damage to the enamel.
2. Apply proper technique to clean all parts of your mouth and teeth. You should also rinse your mouth properly with antiseptic mouthwash and fluoride.
3. You should eat a well -balanced diet which is low in acidic content. Soft drinks and cold drinks should be avoided as they can damage the enamel on your teeth.
4. Using desensitizing toothpaste can help reduce the pain associated with sensitivity.
Hyper sensitive tooth needs proper treatment and you should immediately consult your dentist. There are many dental procedures ranging from simple to complex ones, aimed towards controlling pain and sensitivity. Root canal and application of fluoride to the sensitive areas of your teeth can help reduce pain. Root canal is a treatment at the tooth’s soft core and is considered the most successful treatment to eliminate the pain associated with infected tooth without the need to remove it.
Tooth sensitivity is tooth discomfort in one or more teeth that is triggered by hot, cold, sweet or sour foods and drinks, or even by breathing cold air. The pain can be sharp, sudden, and shoot deep into the nerve endings of your teeth.
What Causes Tooth Sensitivity?
Tooth sensitivity occurs when the underlying layer of your teeth - the dentin - becomes exposed as a result of receding gum tissue (the protective blanket that covers the tooth roots). The roots, which are not covered by hard enamel, contain thousands of tiny tubules leading to the tooth's never center (the pulp). These dentinal tubules (or channels) allow the stimuli - for example, the hot, cold, or sweet food - to reach the nerve in your tooth, which results in the pain you feel.
There are many factors that may lead to the development of tooth sensitivity, including.
Brushing too hard. Over time, brushing too hard or using a hard-bristled toothbrush can wear down enamel and cause the dentin to be exposed. It can also cause recession of the gums (the gum tissue pulls away from the teeth).
Plaque build-up. The presence of plaque on the root surfaces can cause sensitivity.
Mouthwash use. Long-term use of some mouthwashes. Some over-the-counter mouthwashes contain acids that can worsen tooth sensitivity if you have exposed dentin (the middle layer of the tooth). The acids further damage the dentin layer of the tooth. If you have dentin sensitivity, ask your dentist about the use of a neutral fluoride solution.
Recent routine dental procedures. Sensitivity can occur following teeth cleaning, root planing, crown placement, and tooth restoration. Sensitivity caused by dental procedures is temporary, usually disappearing in 4 to 6 weeks.
What Can I Do to Reduce Tooth Sensitivity?
Maintain good oral hygiene. Continue to follow proper brushing and flossing techniques to thoroughly clean all parts of your teeth and mouth.
If you still have discomfort, talk to your dentist. There may be some dental procedures that may help reduce sensitivity, including the use of.
Many adults suffer from Periodontal disease, which may result in slight swelling of the gums or something more severe as grave damage to the bone and tissue, which holds on to the teeth. After the onset of Periodontal disease, dental care is essential as it will determine the progress of the condition.
What are some of the causes of Periodontal disease?
What are the symptoms of Periodontal disease?
In case these symptoms are experienced, a dentist should be immediately consulted.
How is Periodontal disease treated?
In case you have a concern or query you can always consult an expert & get answers to your questions!